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CHERYL EMMONS MDSC
NPI 1871719476
Internal Medicine - Nephrology in Mount Vernon, IL

Active since April 18, 2007
1100 S 42ND ST, SUITE B, MOUNT VERNON, IL 62864(618) 244-5053(618) 244-1355 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cheryl Emmons Mdsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL EMMONS MDSC (NPI 1871719476) is a healthcare organization registered as a nephrology in Mount Vernon, Illinois and active in the NPI registry since April 2007. The organization lists Cheryl Emmons, President, as its authorized official.

NPPES Registry Identity

NPI1871719476
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCHERYL EMMONS MDSC
Location Address1100 S 42ND ST, SUITE BMount Vernon, IL 62864-6216
Mailing Address1100 S 42nd St, Suite BMount Vernon, IL 62864-6216 · (618) 244-5053 · Fax (618) 244-1355
Phone(618) 244-5053
Fax(618) 244-1355
Organization SubpartNo
Authorized OfficialCheryl EmmonsPresident · (618) 244-5053
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871719476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1100 S 42ND ST, Mount Vernon, IL 62864
Open in Google Maps ↗

Other Identifiers 2

Medicaid3485401763IL
Other4132016IL · Bcbs Of Il

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheryl Emmons Mdsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cheryl Emmons Mdsc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cheryl Emmons, MD
Internal Medicine
NPI 1295755114
1100 S 42ND ST SUITE B
Mount Vernon, IL 62864
(618) 244-5053
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Emmons Mdsc's NPI number?

The NPI number for Cheryl Emmons Mdsc is 1871719476. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Cheryl Emmons Mdsc located?

Cheryl Emmons Mdsc is located at 1100 S 42nd St Suite B, Mount Vernon, IL 62864. The listed phone number is (618) 244-5053.

What is Cheryl Emmons Mdsc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cheryl Emmons Mdsc enrolled in Medicare?

Yes. Cheryl Emmons Mdsc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cheryl Emmons Mdsc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Cheryl Emmons Mdsc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cheryl Emmons Mdsc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.